NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who was recently prescribed methadone for chronic, severe back pain. The client indicates taking extra tablets in the last 6 hours when the pain recurred. Which findings during discharge require the client to be monitored longer in the hospital setting? Select all that apply.
Correct Answer: A,C,D
Rationale: Falling asleep (
A), vomiting (
C), and premature ventricular contractions (
D) indicate possible methadone overdose or toxicity, requiring extended monitoring. Pruritus (
B) is a common side effect, and 92% oxygen saturation (E) is not critical.
Question 2 of 5
The home health nurse is providing long-term care to several clients. Which are examples of inappropriately crossing professional boundaries? Select all that apply.
Correct Answer: A,D,E
Rationale: Accepting expensive gifts (
A), soliciting investments (
D), and socializing with alcohol (E) violate professional boundaries. Offering to pray (
B) is acceptable if client-initiated, and a sympathy card (
C) is appropriate.
Question 3 of 5
While assisting a doctor with a sterile dressing change, the nurse notices that the doctor has contaminated his left hand. Which action should the nurse take?
Correct Answer: B
Rationale: Telling the doctor about the contamination maintains sterility and patient safety. Handing gloves assumes he noticed. Antibiotics are not a substitute for sterility. Reporting is secondary to immediate action.
Question 4 of 5
The nurse is caring for a client with a tracheostomy who has an order to begin oral intake. Which of the following actions should the nurse take to decrease the client's risk for aspiration?
Correct Answer: D
Rationale: Thickened liquids (
D) reduce aspiration risk by slowing transit. Inflating the cuff (
A) is not always necessary, straws (
B) may increase risk, and tilting the head back (
C) worsens aspiration.
Question 5 of 5
A client with a history of increased intracranial pressure is admitted to the hospital for severe headaches. The client suddenly vomits and states, 'That's weird, I didn't even feel nauseated.' Which action should the nurse take next?
Correct Answer: C
Rationale: Sudden vomiting without nausea in increased ICP suggests worsening pressure, requiring immediate RN notification (
C). Documentation (
A), lowering the bed (
B), and antiemetics (
D) are secondary.